| NPI | 1134189459 |
|---|---|
| Former Name | SHIRL ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 010347-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 010347) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-01-27 |